Current prevalence of major depressive disorder in the general population from Bucaramanga, Colombia

Authors

  • Laura del Pilar Cadena Autonomous University of Bucaramanga
  • Luis A. Díaz Autonomous University of Bucaramanga
  • Germán E. Rueda Autonomous University of Bucaramanga
  • Nubia L. Hernández Autonomous University of Bucaramanga
  • Adalberto Campo Human Behavior Research Institute

DOI:

https://doi.org/10.17533/udea.rfnsp.2115

Keywords:

major depressive disorder, prevalence, epidemiology, public health population cross-sectional survey

Abstract

Major depressive disorder (MDD) is the disorder with the most important global burden in terms of disability-adjusted life years. Objetive: to determine the current prevalence of MDD in the general population in Bucaramanga, Colombia, and to explore the risk factors associated with them. Methodology: this is a cross-sectional survey with a population random sampling that involved 18-65 year-old people living in Bucaramanga. A psychiatric diagnosis of a MDD during last month was accomplished using Structured Clinical Interview for Axis I diagnoses (SCID-I) according to the DSM-IV-TR criteria issued by the American Psychiatric Association. Results: a total amount of 266 people were selected (57,1% women). Their mean age were 37,4 years and the formal education years were 9,8. A total of 12,0% was unemployed, 56,1% had a stable couple, and 51,2% lived in medium socioeconomic strata. The prevalence of MDD was 16,5% (95% ci 12,3-21,6). A significant association was identified between the fact of not having a stable couple (PR = 2,11) and the and level of education (PR = 0,41, for 6-11 cursed years, and PR = 0,28, for 12 or more cursed years, compared to five or lesser years of schooling) and the MDD. Discussion: the current prevalence of MDD is high among adult general population from Bucaramanga. This implies the necessity to develop better strategies for an early detection and an integral treatment of MDD cases in order to decrease social and economical costs of MDD.

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Author Biographies

Laura del Pilar Cadena, Autonomous University of Bucaramanga

Doctor, researcher, Neuropsychiatry Group of the Faculty of Medicine of the Autonomous University of Bucaramanga (UNAB). Master's student in public health, National University of Colombia, Bogotá, Colombia.

Luis A. Díaz, Autonomous University of Bucaramanga

Pediatrician, Master in Epidemiology, Associate Professor, Neuropsychiatry Group of the Faculty of Medicine, Autonomous University of Bucaramanga (UNAB), Bucaramanga, Colombia.

Germán E. Rueda, Autonomous University of Bucaramanga

Psychiatrist, associate professor, Neuropsychiatry Group of the Faculty of Medicine of the Autonomous University of Bucaramanga (UNAB), Bucaramanga, Colombia.

Nubia L. Hernández, Autonomous University of Bucaramanga

Psychologist Assistant Professor, Neuropsychiatry Group of the Faculty of Medicine of the Autonomous University of Bucaramanga (UNAB), Bucaramanga, Colombia.

Adalberto Campo, Human Behavior Research Institute

Psychiatrist. Director of Research and Publications of the Human Behavior Research Institute, Bogotá. Associate Professor, Neuropsychiatry Group of the Faculty of Medicine of the Autonomous University of Bucaramanga (UNAB), Bucaramanga, Colombia.

References

(1). Asociación Psiquiátrica Americana. Manual diagnóstico y estadístico de los trastornos mentales DSM IV-TR. Barcelona: Masson; 2000.

(2). Blazer DG, Kessler RC, McGonagle KA, Swart MS. The preva-The preva-lence and distribution of major depression in a national commu-nity sample: The National Comorbidity Survey. Am J Psychiatry 1994; 151: 979-986. DOI: https://doi.org/10.1176/ajp.151.7.979

(3). Vorcaro CMR, Lima-Costa MFF, Barreto SM, Ochoa E. Unex-pected high prevalence of 1-month depression in a small Brazi-lian community: the Bambuí Study. Acta Psychiatr Scand 2001; 104: 257-263. DOI: https://doi.org/10.1111/j.1600-0447.2001.00440.x

(4). Vicente B, Kohn R, Rioseco P, Saldivia S, Baker C, Torres S. Population prevalence of psychiatric disorders in Chile: 6-month and 1-month rates. Br J Psychiatry 2004; 184: 299-305. DOI: https://doi.org/10.1192/bjp.184.4.299

(5). Posada-Villa JA, Aguilar-Gaxiola SA, Magaña CG, Gómez LC. Prevalencia de trastornos mentales y uso de servicios: resultados preliminares del Estudio Nacional de Salud Mental. Colombia, 2003. Rev Colomb Psiquiatr 2004; 23: 241-262.

(6). Gómez-Restrepo C, Bohórquez A, Pinto D, Gill JFA, Rendón M, Díaz-Granados N. Prevalencia de depresión y factores asociados con ella en la población colombiana. Rev Panam Salud Publica 2004; 16: 378-386. DOI: https://doi.org/10.1590/S1020-49892004001200003

(7). Üstün TB, Ayuso-Mateos L, Chatterji S, Mathers C, Murray JL. Global burden of depressive disorder in the year 2000. Br J Psy-chiatry 2004; 184: 386-392. DOI: https://doi.org/10.1192/bjp.184.5.386

(8). Prieto A. Salud mental: situación y tendencias. Rev Salud Publica 2002; 2: 14-20.

(9). Posada-Villa JA, Trevisi C. Prevalencia, severidad y necesidades no satisfechas del tratamiento de los trastornos de ansiedad, relacionados con sustancias, del estado del ánimo y del control de los impulsos en adultos según el Estudio Nacional de Salud Mental, Colombia, 2003. Medunab 2004; 7: 65-72.

(10). Torres Y, Murelle L. Estudio Nacional sobre Alcoholismo y Consumo de Sustancias Psicoactivas -Colombia 1987. Medellín: Edi-torial Universidad de Antioquia; 1988.

(11). Torres Y, Posada J. Estudio Nacional de Salud Mental y Consumo de Substancias Psicoactivas. Bogotá: Ministerio de Salud; 1993.

(12). Torres Y, Montoya I. Segundo Estudio Nacional de Salud Mental y Consumo de Substancias Psicoactivas. Bogotá: Ministerio de Salud; 1997.

(13). World Health Organization. Composite international diagnostic interview (CIDI). Version 15. Geneva: w h o; 2000.

(14). Andrews G, Peters L. The psychometric properties of the Com-posite International Diagnostic Interview. Soc Psychiatry Psy-chiatr Epidemiol 1998; 33: 80-88. DOI: https://doi.org/10.1007/s001270050026

(15). Komiti AA, Jackson HJ, Judd FK, Cockram AM, Kyrios M, Yeatman R, et al. A comparison of the Composite Internatio-nal Diagnostic Interview (c i d i-Auto) with clinical assessment in diagnosing mood and anxiety disorders. Aust N Z J Psy-chiatry 2001; 35: 224-230. DOI: https://doi.org/10.1046/j.1440-1614.2001.00868.x

(16). Jonas BS, Brody D, Roper M, Narrow WE. Prevalence of mood disorders in a national sample of young American adults. Soc Psychiatry Psychiatr Epidemiol 2003; 38: 618-624. DOI: https://doi.org/10.1007/s00127-003-0682-8

(17). Ostler K, Thompson C, Kinmonth ALK, Peveler RC, Stevens L, Stevens A. Influence of socio-economic deprivation on the pre-valence and outcome of depression in primary care. Br J Psychia-try 2001; 178: 12-17. DOI: https://doi.org/10.1192/bjp.178.1.12

(18). Battaglia A, Dubini A, Mannheimer R, Pancheri P. Depression in the Italian community: epidemiology and socio-economic impli-cations. Int Clin Psychopharmacol 2004; 19: 135-142. DOI: https://doi.org/10.1097/00004850-200405000-00003

(19). Jacobi F, Wittchen H-U, Hölting C, Höfler M, Pfister H, Müller N, et al. Prevalence, co-morbidity and correlates of mental disorders in the general population: results from the German Health Interview and Examination Survey (GHS). Psychol Med 2004; 34: 597-611. DOI: https://doi.org/10.1017/S0033291703001399

(20). Kessler RC, Berglund P, Demler O, Jin R, Koretz D, Merikansas KR, et al. The epidemiology of major depressive disorder. Re-sults from the National Comorbidity Survey Replication (NCS-R). j a m a 2003; 289: 3095-3105. DOI: https://doi.org/10.1001/jama.289.23.3095

(21). Rogers R. Standardizing d s m-i v diagnoses: the clinical application of structured interviews. J Person Asses 2003; 81: 220-225. DOI: https://doi.org/10.1207/S15327752JPA8103_04

(22). Ministerio de Salud de Colombia. Resolución 8430, por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Bogotá: El Ministerio; 1993.

(23). Campo-Arias A, Díaz-Martínez LA, Rueda-Jaimes GE, Barros-Bermúdez JA. Validación de la escala de Zung para de-presión en universitarias de Bucaramanga. Rev Colomb Psiquiatr 2005, 34: 54-62.

(24). Compilación normativa. Plan de ordenamiento territorial. Bucaramanga: Alcaldía de Bucaramanga; 2003.

(25). First MB, Spitzer RL, Gibbon M, Williams JBW. Entrevista clínica estructurada para los trastornos de eje I del d s m-i v (versión clínica) s c i d-i. Barcelona: Masson; 1999.

(26). STATA 9.0. College Station: Stata Corporation; 2005.

(27). Greenland S. Modeling and variable selection in epidemiologic analysis. Am J Public Health 1989; 79: 340-349. DOI: https://doi.org/10.2105/AJPH.79.3.340

(28). Cadoret RJ, Winokur G, Langbehn D, Troughton E, Yates WR, Stewart MA. Depression spectrum disease, I: The role of gene-environment interaction. Am J Psychiatry 1996; 153: 892-899. DOI: https://doi.org/10.1176/ajp.153.7.892

(29). Zubenko GS, Hughes HB, Stiffler JS, Zubensko WN, Kaplan BB. Genome survey for susceptibility loci for recurrent, early-onset major depression: results at 10cM resolution. Am J Med Genet 2002; 114: 413-422. DOI: https://doi.org/10.1002/ajmg.10381

(30). Himelhoch, Weller WE, Wu AW, Anderson GF, Cooper. Chronic medical illness, depression, and use of acute medical services among Medicare beneficiaries. Med Care 2004; 42: 512-521. DOI: https://doi.org/10.1097/01.mlr.0000127998.89246.ef

(31). Karasz A. Cultural differences in conceptual models of depression. Soc Sci Med 2005; 60: 1625-1635. DOI: https://doi.org/10.1016/j.socscimed.2004.08.011

(32). Rojas G, Araya R, Lewis G. Comparing sex inequalities in common affective disorders across countries: Great Britain and Chile. Soc Sci Med 2005; 60: 1693-1703. DOI: https://doi.org/10.1016/j.socscimed.2004.08.030

(33). Chen YY, Subramanian SV, Acevedo-García D, Kawachi I. Women’s status and depressive symptoms: a multilevel analysis. Soc Sci Med 2005; 60: 49-60. DOI: https://doi.org/10.1016/j.socscimed.2004.04.030

(34). Kessler RC, Berglund PA, Bruce ML, Koch JR, Laska EM, Leaf PJ, et al. The prevalence and correlates of untreated serious men-tal illness. Health Serv Res 2001; 36: 987-1007.

(35). Thomas CM, Morris S. Cost of depression among adults in England in 2000. Br J Psychiatry 2003; 183: 514-519. DOI: https://doi.org/10.1192/bjp.183.6.514

(36). Pirraglia PA, Rosen AB, Hermann RC, Olchanski NV, Neumann P. Costutility analysis studies of depression management: a sys-tematic review. Am J Psychiatry 2004; 161: 2155-2162. DOI: https://doi.org/10.1176/appi.ajp.161.12.2155

(37). Kohn R, Saxena S, Levav I, Saraceno B. The treatment gap in mental health care. Bull w h o 2004; 82: 858-866.

(38). Flores-Gutiérrez MY, Páez F, Ocampo-Castañeda J, Corona-Hernández F. Los conocimientos de los estudiantes de medicina y del personal médico relacionados con el síndrome depresivo. Salud Mental 2000; 23: 12-17.

(39). Mojtabai R. Residual symptoms and impairment in major depression in the community. Am J Psychiatry 2001; 158: 1645-1651. DOI: https://doi.org/10.1176/appi.ajp.158.10.1645

(40). Oquendo MA, Ellis S, Greenwald S, Malone KM, Weissman MM, Mann JJ. Ethnic and sex differences in suicide rates relative to major depression in the United States. Am J Psychiatry 2001; 158: 1652-1658. DOI: https://doi.org/10.1176/appi.ajp.158.10.1652

Published

2010-05-27

How to Cite

1.
Cadena L del P, Díaz LA, Rueda GE, Hernández NL, Campo A. Current prevalence of major depressive disorder in the general population from Bucaramanga, Colombia. Rev. Fac. Nac. Salud Pública [Internet]. 2010 May 27 [cited 2025 Feb. 2];28(1):36-41. Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/2115

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Research